Class 6 Quiz Flashcards

1
Q

Otoacoustic Emission Test (OAE)

A
  • measures hair cell function in the inner ear
  • specifically the outer hair cells
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2
Q

Most common OAE population

A
  • infants and other special populations
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3
Q

Why would you complete an OAE on an adult?

A
  • nonverbal
  • intellectual disability/cognitive
  • malingering
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4
Q

You will produce OAEs if

A

you have normal hearing

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5
Q

You will not produce OAEs if

A

hearing loss is greater then 25-30 decibles

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6
Q

Why would OAE be a great tool to complete a newborn hearing screening?

A
  • they cant raise their hands- respond
  • usually sleeping/easier to do then
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7
Q

Spontaneous emissions occur in..

A

60-70% of people

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8
Q

Emission refers to

A
  • sound generated within the normal cochlea of the ear in response to stimulation
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9
Q

A little child with congestion will have

A

low frequency emission, more robust during high frequency

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10
Q

What is the key to a successful OAE?

A

Probe placement
- not getting any noise outside of the probe
- to limit sound leaking

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11
Q

Auditory brainstem response (ABR) Testing

A
  • adhesive recording electrodes are placed on the forehead and ears
  • captures and analyzes recordings of electric potentials generated by the auditory neural pathways
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12
Q

When is ABR done

A
  • patient is laying down
  • patient remains still and quiet throughout the test- may require sedation
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13
Q

How long does ABR take?

A

1-2 hours

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14
Q

3 distinct features of ABR

A
  • morphology- shape
  • latency- how far out it occurs
  • amplitude- how “large” the wave is
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15
Q

ABR helps diagnose…

A
  • neurological abnormalities of the 8th nerve and auditory pathways
  • estimation of hearing sensitivity
  • soft test for hearing loss, acoustic tumors, cerebellopontine angle tumors
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16
Q

ABR with threshold is

A
  • how hearing loss is ultimately diagnosed in a baby
17
Q

Purpose for ABR in an adult

A
  • to detect VIII nerve lesion (retro-cochlear involvement)
  • to determine thresholds of hearing in a non-compliant patient
  • to detect malingering-confirm or refute thresholds obtained in the booth
18
Q

ABR outlier

A

-interoperative monitoring- performing an ABR during a surgical procedure
- usually resection of an acoustic neuroma- to monitor the integrity of the VIIIth nerve

19
Q

If wave 1 in an ABR is delayed it is a

A

sign of conductive hearing loss

20
Q

ABR screening in a hospital

A

-done with a click around 4000HZ
- intensity of 35dB

21
Q
A
22
Q
A